59120 Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach Final Diagnosis: ICD-9: 633.10 Tubal pregnancy without intrauterine pregnancy A patient had laparoscopic partial left salpingectomy to treat left tubal pregnancy. CPT ® 59151 in section: Laparoscopic treatment of ectopic pregnancy. ABSTRACT: Ectopic pregnancy is defined as a pregnancy that occurs outside of the uterine cavity. 58661 . The most common site of ectopic pregnancy is the fallopian tube. To Locate: PCS Index > Resection > Products of Conception, Ectopic >10T2 > locate table 10T and go across the row to finish building the code. Most cases of tubal ectopic pregnancy that are detected early can be treated successfully either with minimally invasive surgery or with medical management using methotrexate. For example: CPT code 58660, Lysis of adhesions, is not to be reported separately when done in conjunction with CPT code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) For unruptured tubal pregnancy the fallopian tubes is identified and mobilized to minimize bleeding, a 5 to 8 ml diluted solution containing 5 Unit vasopressin in 20 ml of saline is injected with a 20 gauge spinal or laparoscopic needle. CPT Code Description 59100 Hysterotomy, abdominal (e.g., for hydatidiform mole, abortion) 59120 Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach 59121 Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2015 Issue 3; Ask the Editor Laparoscopic Partial Salpingectomy for Ectopic Pregnancy. In 38 cases (3.8%) the laparoscopic procedure was converted to laparotomy. Figure: Salpingotomy for unruptured Ectopic pregnancy. CPT ® Code Set. The average operating time for treating ectopic pregnancy and tubal disease was approximately 60 min (range 13-240). Randomized controlled trials that compared salpingectomy with salpingostomy for the management of ectopic pregnancy have found no statistically significant difference in the rates of subsequent intrauterine pregnancy (RR, 1.04; 95% CI, 0.899–1.21) or repeat ectopic pregnancy … CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. This includes vasectomies (CPT® code 55250), tubal ligations (CPT® codes 58600, 58605, 58611, 58615, 58670, and 58671), and hysteroscopic sterilizations (CPT® code 58565). An abnormal pregnancy in which the egg is implanted anywhere outside the corpus uteri. They can be in other locations, such as uterine cervix; ovary; and abdominal cavity (pregnancy, abdominal). Most ectopic pregnancies (>96%) occur in the fallopian tubes, known as tubal pregnancy. The average operating time for all cases was 76.9 min (range 10-400). There is also associated less need for analgesia, short hospital stay and decreased post-operative morbidity. During surgery, a portion of the left fallopian tube, its ectopic pregnancy, and the mesosalpinx were coagulated and cut. 59151 - CPT® Code in category: Laparoscopic treatment of ectopic pregnancy. In this manner, what is the CPT code for laparoscopic bilateral Salpingectomy? Resection of Products of Conception, Ectopic, Percutaneous Approach sterilization procedures. Is the tubal ligation reported separately? Conclusion: Laparoscopic salpingectomy for management of ruptured tubal ectopic pregnancy is a safe and suitable management option in Sub-Saharan Africa, including Nigeria. 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